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Can You Have Sex With UTI? Understanding Risks and Precautions

By Dr. Shubham Pandey +2 more

Key Highlights: 

  • A urinary tract infection (UTI) is a painful infection of the urinary system that can affect sex and genital hygiene. 
  • Risks that you may encounter while having sex with a UTI are exacerbating symptoms, introducing new bacteria, or passing the infection to a partner. 
  • Precautions to take during a UTI are paying attention to symptoms, urinating before and after sex, maintaining hygiene, and communicating with a partner. 
  • If symptoms are persistent or worsening, if you develop UTI symptoms after sex, or developing recurrent UTIs warrants medical attention.  
  • Avoidance and management of UTIs include good hygiene habits, staying hydrated, proper wiping techniques, and using condoms or barrier methods during sex. 

Introduction 

Urinary Tract Infections (UTIs) are often due to bacteria invading your urinary system. You might feel an ever-present urge to urinate or a fiery pain when you do urinate. Also, a sharp, dull pain in the lower stomach might occur. In this article, we will discuss how sexual intercourse affects an individual with UTI. We will also touch upon how to safeguard yourself and others in this situation. Lastly, we will answer some frequently asked questions regarding this topic. 

can you have sex with uti

Did you know?

  • UTIs are more common in females due to their shorter urethra and proximity to the rectum. source: womenshealth.gov
  • Sexual intercourse increases the risk of symptomatic urinary tract infections (UTIs) in post-menopausal women. source: PubMed
  • Cranberries contain compounds that can help prevent recurring UTIs. source: kidney.org
  • Women should wipe from front to back after going to the bathroom to prevent UTIs. source: kidney.org
  • UTIs are treated with antibiotics, and it is important to take them as prescribed. source: kidney.org
  • Sexual intercourse increases the risk of symptomatic urinary tract infections (UTIs) in post-menopausal women. source: PubMed

What is an Urinary Tract Infection (UTI)? 

A UTI is when any part of your urinary system gets infected. This system contains your kidneys, bladder, ureters, and urethra. Most times, it’s a bacterium known as Escherichia coli (E. coli) which causes the infection. This bacterium dwells calmly in your gut. But, if it ventures out into your urinary system, it can give you a UTI. 

Causes of UTI 

 The common causes of a UTI are as follows.  

  • Having sexual intercourse can force bacteria towards or into the urethra. 
  • Wrong wiping method after using the toilet. For example, women who wipe from back to front. This can move bacteria from the anus to the vagina and urethra. 
  • Having a urinary catheter or recent surgery involving the urinary tract. 
  • Health issues that weaken the immune system, like diabetes. 

Symptoms of UTI 

 The most common symptoms of UTI are as follows.  

  • Increase the frequency of urination  
  • Burning pain while urinating 
  • Feeling like you need to urinate, but then passing only tiny amounts of urine 
  • Pain in the lower stomach or just above the area of the pubic bone 
  • Cloudy or bloody urine that smells really strong 
  • Fatigue and fever in more severe cases 
     

If you ignore a UTI, it can turn into a kidney infection. This severe infection can bring extra symptoms. These include high fever, chills, vomiting, and severe pain in the back or stomach. It’s vital to check with a healthcare provider if you think you have a UTI. This will help you get the right management. 

Researchers have found that a UTI may originate from the fingertips. Every time you contact a surface, bacteria and other microorganisms might stick to your hands. When you use the restroom or engage in sexual activities like fingering or masturbating, you may unintentionally introduce bacteria into your urethra. I recommend you to consider hand washing both before and after using the loo or having sex.

Dr. Siddharth Gupta, MD

Risk factors for UTI 

Now, some people are more likely to get UTIs than others. Below we will discuss few factors that increase your risk of getting a UTI.  

  • Being a woman:  As a women’s urethras are shorter and nearer the anus. 
  • Having had sexual intercourse recently: This activity can transport bacteria during the act. 
  • Being in menopause: Here, estrogen levels go down. This makes the urinary tract more open to infection. 
  • Using certain birth control methods: For example, spermicides and diaphragms. 
  • Having unusual traits in the urinary system: These can interfere with the normal flow of urine. 

Common management options for UTI 

Your healthcare provider may advise antibiotics to combat a UTI effectively. The medicine used depends on how bad the infection is and which bacteria is causing it. Here are some types of antibiotics that could be used.  

  • Penicillin derivatives, such as amoxicillin 
  • Fluoroquinolones, like ciprofloxacin 
  • Sulfonamides combined with trimethoprim, alas called as co-trimoxazole (Bactrim) 

In addition to the suggested drugs, it is advised to drink lots of water. You may also take over-the-counter pain relievers. For example, ibuprofen or paracetamol. These steps may ease symptoms and speed up healing. However, if you are suspecting a UTI, you must consult your healthcare provider to decide the right management options for you. 

In my experience, mild urinary tract infections may heal on their own. But, the majority of UTIs require antibiotics to resolve. If you have a UTI, you must take antibiotics by consulting the doctor.

Dr. Rajeev Singh, BAMS

Sexual intercourse and UTI: Can You Have Sexual intercourse while having UTI? 

In theory, yes, you can have sexual intercourse when you have a UTI. However, it’s wise to avoid it until the infection is entirely gone.  This is because the act could make your symptoms worse, or lead to new bacteria entering your urinary tract. 

Potential risks and obstacles 

There are some dangers and challenges of having sexual intercourse with a UTI. These are discussed below.  

  • Worsened symptoms during sexual intercourse 

Sexual intercourse can irritate already tender tissues of the urinary tract. This could worsen pain and unease. 

  • More bacteria in the mix 

During sexual intercourse, bacteria from the skin or other parts may be pushed near or into the urethra. This could introduce new bacteria, making the infection worse. 

  • Spreading the infection to your partner 

UTIs are not sexually transmitted infections, that’s true. But during sexual intercourse, there’s a low risk of passing the UTI-causing bacteria to your partner. Using barriers like condoms and practicing good hygiene may lower this risk. 

Balancing comfort and desire 

One could decide to be physically intimate despite having a UTI. If so, make sure both you and your partner are up for it. Be mindful of any changes in pain or discomfort.  Communication with your partner is key. 

In my opinion, one of the most effective strategies to help keep UTIs at bay is to practise good cleanliness. This is particularly critical if you are a woman since due to the shorter urethra, E. Coli finds it easy to return from your rectum into your body. To avoid this, always wipe after a bowel movement (pooping) from front to back.

Dr. Smita barode, B.A.M.S, M.S.

Precautions and Safety Measures 

If you have a UTI or tend to get it often, being careful before and after sex may help. This reduces the chances of the infection getting worse or if it is happening again in the future. 

1. Listen to your body 

Pay attention to your body. If it is showing major pain or discomfort you might want to avoid sexual intercourse until the UTI is managed, and all symptoms subside. 

2. Urinating before and after sexual intercourse 

Make it a routine to urinate before and after sexual intercourse. This pushes out bacteria from your genital area. It also reduces the odds of them from entering your urinary tract. 

3. Keeping clean 

Keeping good personal hygiene may lower the chance of having more bacteria during sexual intercourse. This is especially true for areas where bacteria may be hiding. 

  • Washing up before and after sexual intercourse 

Bathing the genital and anal areas before and after sexual intercourse may reduce the risk of spreading UTI-causing bacteria. 

  • Cleaning sex toys 

Make sure to wash sex toys well, before and after each use. You can use a soft cleaner or warm water and mild soap. 

4. Avoid switching types of sexual act  

Avoid changing from anal to oral or vaginal sex without washing up first or without getting a new barrier. Doing so could spread bacteria from one place to another, raising UTI risk. 

  • Communication with your partner 

Open, honest talks with your partner are needed. Discuss your UTI symptoms, the risks of having sexual intercourse while dealing with a UTI, and your preferences in bed. 

Also Read: Sexual Frustration: Exploring Causes, Symptoms, and Potential Solutions

When to See a Doctor? 

If you’re troubled about UTIs, don’t hesitate to seek professional advice. This is especially true if you have persistent or worsening symptoms, UTI symptoms after sexual intercourse, or repeated UTIs. Also, consult your healthcare provider on how best to avoid and manage UTIs. 

1. Persistent or worsening symptoms 

If your UTI symptoms persist or get worse even after management, call your healthcare provider. You might need another antibiotic course or a check for other hidden health issues. 

2. UTI symptoms after sexual intercourse 

If frequent UTI symptoms develop after sexual intercourse then measures taken to avoid it are not working and seeking help from your healthcare provider is warranted. They can suggest other strategies. 

3. Frequent UTIs 

Regular UTIs call for a closer look at your urinary system. Your healthcare provider may do extra tests to find out if there’s an underlying issue causing the recurrent infections. 

4. Needing guidance on avoiding and handling UTIs 

Your healthcare provider can advise steps to avoid future UTIs. These may include changes in personal hygiene and sexual habits. Also, the use of drugs if needed may be recommended. 

Myth-Busting: UTIs and Common Misconceptions 

Several myths float around about UTIs. That’s why it’s vital to separate the facts from the fictions. 

UTIs vs. STIs: Understanding the contrast 

People often mix up UTIs and sexually transmitted infections (STIs). This happens because both may result from sexual activity, and some symptoms overlap. But there are important differences between the two. Though both cause pain, discomfort, and changes in frequency of urination, UTIs occur usually due to the transfer of bacteria from the anal or vaginal region to the urethra and less often may get transferred to the sexual partner. While STIs are always transferred from one person to the other via sexual contact.  

Causes of UTI in both men and women 

 Both men and women can get UTIs, and similar factors lead to a UTI in both. Sexual intercourse raises UTI risk, but so do things that aren’t linked with sex. For example, bad hygiene or a block in the urinary pathway. 

Avoidance and Management of UTIs 

You may take many steps to lower your odds of getting UTIs and to better handle existing ones. These are described below.  

1. Keeping good personal hygiene 

Stay clean by bathing regularly. Also, keep your genital area clean and always wipe from front to back after using the toilet. 

2. Drinking loads of fluids 

Drink lots of fluids, mostly water. This helps to wash out bacteria from your urinary system. 

3. Using condoms or barriers during sexual intercourse 

Barriers like condoms may help stop bacteria from getting into the urethra during sex. 

4. Avoid spermicides and diaphragms 

Change birth control methods if you notice a pattern of UTIs with spermicides or diaphragms. These can shift the bacterial makeup of the vagina and raise UTI risk. 

5. Tips for women in menopause 

Postmenopausal women should consult their healthcare provider about estrogen-replacement therapy as it might help. Falling estrogen levels can change your urinary tract and increase the UTI risk. 

Conclusion 

Dealing with UTIs can be tough. They can cause discomfort and sometimes pain. But, with the right care and attention, they are usually manageable, and avoidable. While you might decide to put having sex on hold during a UTI, understanding how sexual intercourse and UTIs are connected may help you lower your risk of future infections. Remember to stay clean, take precautions during sexual intercourse, and reach out to your healthcare provider if you face persistent or repeat UTIs. By staying informed and active, you may enjoy a full, healthy sexual life whilst avoiding discomfort of a UTI. 

Frequently Asked Questions (FAQ) 

How soon after sex can UTI symptoms show up? 

UTI symptoms may show up within 24 hours after sexual intercourse. 

Can I have sex while on antibiotics for UTI? 

It’s best to stop sex until you’ve finished your antibiotics, and all symptoms are gone. This helps to avoid making the infection worse or bringing in new bacteria. 

Can I fully stop the risk of UTIs during sex? 

Eliminating the UTI risk entirely is tough. But good hygiene and by using condoms may cut down the chances of getting a UTI after sex. 

How can I tell UTI symptoms from STI symptoms? 

Some UTI and STI symptoms can be similar. But, more significant signs of an STI are itching in the genital area and unusual discharge. If you’re not sure, your healthcare provider can give you a correct diagnosis. 

What if my partner and I both have UTIs? 

If both you and your partner have UTIs, it’s better to stop having sex until both of you have completed your antibiotic course and are free from symptoms. This might lessen the chance of infections from getting worse. 

References: 

  1. National Center for Biotechnology Information (NCBI). Recurrent Urinary Tract Infections Management in Women [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749018 
  1. National Center for Biotechnology Information (NCBI). Guidelines for the diagnosis and management of recurrent urinary tract infection in women [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3202002 
  1. PubMed. Non-surgical management of recurrent urinary tract infections in women [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/28791233 
  1. National Center for Biotechnology Information (NCBI). Sexual Intercourse and Risk of Symptomatic Urinary Tract Infection in Post-Menopausal Women [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2324148 
  1. National Center for Biotechnology Information (NCBI). Community-Acquired Urinary Tract Infection by Escherichia coli in the Era of Antibiotic Resistance [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178185 
  1. PubMed. Nonoxynol-9: differential antibacterial activity and enhancement of bacterial adherence to vaginal epithelial cells [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/1659602 
  1. JAMA Network. Does This Woman Have an Acute Uncomplicated Urinary Tract Infection? [Internet]. [cited 2023 Nov 8]. Available from: https://jamanetwork.com/journals/jama/article-abstract/194952 
  1. PubMed. Overdiagnosis of Urinary Tract Infection and Underdiagnosis of Sexually Transmitted Infection in Adult Women Presenting to an Emergency Department [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/26063863 
  1. Cochrane Library. Antibiotics for preventing recurrent urinary tract infection in non‐pregnant women [Internet]. [cited 2023 Nov 8]. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001209.pub2/full 
  1. PubMed. Probiotics and prebiotics potential for the care of skin, female urogenital tract, and respiratory tract [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/31773556 
  1. PubMed. Chinese herbal medicine for treating recurrent urinary tract infections in women [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/26040964 
  1. National Center for Biotechnology Information (NCBI). Altered perineal microbiome is associated with vulvovaginitis and urinary tract infection in preadolescent girls [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236301 
  1. PubMed. Recurrent urinary tract infections in women: How promising is the use of probiotics? [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/29063878 
  1. National Center for Biotechnology Information (NCBI). Bladder Health Experiences, Perceptions and Knowledge of Sexual and Gender Minorities [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747507 
  1. PubMed. Cranberries for preventing urinary tract infections [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/23076891 
  1. National Center for Biotechnology Information (NCBI). Sanjin tablets for acute uncomplicated lower urinary tract infection (syndrome of dampness-heat in the lower jiao): protocol for randomized, double-blind, double-dummy, parallel control of positive drug, multicenter clinical trial [Internet]. [cited 2023 Nov 8]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642468 
  1. PubMed. Probiotics for preventing urinary tract infections in adults and children [Internet]. [cited 2023 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/26695595 

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